Lower Extremity Burns and Gait

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Lower Extremity Burnsand Gait
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Lower Extremity Outcomes

• Edema control
• Preserve/restore range of motion
• Ambulation without deviation

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Dependent ExtremityPosition

• Inadequate venous return
• Tissue engorgement
• Edema
• Bleeding
• Pain

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Counter-Pressure Support
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Early Ambulation References

• 1. Schmitt MA, et al
• J Burn Care Rehabil 19911233 37
• 2. Grube BJ, et al
• J Trauma 199133662 664
• 3. Burnsworth B, et al
• J Burn Care Rehabil 19921389 92
• 4. Cox GW, Griswold JA
• J Burn Care Rehabil 199314455 - 457

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Pre-ambulation Routine

• Quad/glut sets
• Calf pumps
• Straight leg raises
• Dangling regimen

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Ambulation Hints

• Fast start
• True vs Associated problems

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Concerns Associated with Ambulation

• Vital signs
• Orthostatic hypotension
• Inhalation injury
• IV lines

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Concerns Associated With Ambulation

• Location of wound
• Thigh vs Leg
• Plantar foot
• Depth of injury

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